Average Physician Salary in TexasNo State Income Tax
Physicians in Texas earn an average of $228,800 per year across 5 metro areas. This is +4.3% lower than the national average.
Average Salary
$228,800
per year
Hourly Rate
$110.00
per hour
vs National
-4.3%
$239,200 national
Salary Range
$148,333
to $335,172
About Physician Careers in Texas
Physicians diagnose and treat illnesses, injuries, and other health conditions. They are the highest-paid professionals in the healthcare system, combining years of intensive medical training with clinical judgment that directly impacts patient outcomes. The field spans two main pathways — primary care (family medicine, internal medicine, pediatrics) and specialty medicine — with specialists earning substantially more. The national median annual salary exceeds $239,000, but top earners in procedural specialties such as orthopedic surgery, cardiovascular surgery, and neurosurgery regularly surpass $600,000.
In Texas, physicians earn an average of $228,800 per year as of 2026, with salaries ranging from $148,333 for entry-level roles to $335,172 for the most experienced professionals — +4.3% below the national average. Pay is influenced most by specialty — surgical subspecialties earn 2–3× more than primary care, practice setting — private practice ownership often maximizes income vs. employed positions, and the specific metro area within Texas.
Cost of Living Adjusted Salary
Nominal Salary
$228,800
Cost of Living Index
93
100 = national average
Adjusted Salary
$246,022
purchasing power equivalent
After adjusting for Texas's cost of living (below average), a Physician's salary of $228,800 has the purchasing power of $246,022 in an average-cost area. Additionally, Texas has no state income tax, further increasing take-home pay.
Physician Salary by City in Texas
| City | Median Salary | Hourly Rate | Entry Level (P10) | Senior (P90) | Employment |
|---|---|---|---|---|---|
| Austin, TX | $259,254 | $124.64/hr | $174,928 | $364,493 | 241 |
| Dallas, TX | $235,187 | $113.07/hr | $148,760 | $347,741 | 274 |
| Houston, TX | $233,538 | $112.28/hr | $146,637 | $345,171 | 290 |
| San Antonio, TX | $216,117 | $103.90/hr | $144,133 | $317,718 | 223 |
| El Paso, TX | $199,903 | $96.11/hr | $127,205 | $300,736 | 237 |
Source: Bureau of Labor Statistics OEWS Survey, 2026. Sorted by median salary (highest first).
Texas vs National Average
Physician Salary Comparison
Employment in Texas
There are approximately 1,265 Physicians employed across 5 metro areas in Texas.
Key Industries: Energy & Oil, Technology, Healthcare
State Income Tax: None (tax-free state)
Physician Salary Range in Texas
Entry Level (10th Percentile)
$148,333
Starting salary for new Physicians
Median (50th Percentile)
$228,800
Mid-career Physician salary
Senior (90th Percentile)
$335,172
Top earners in the field
Related Occupations in Texas
Physician Salary in Neighboring States
Compare Physician salaries in Texas with nearby states to find the best opportunities.
Frequently Asked Questions
What is the average Physician salary in Texas?
The average Physician salary in Texas is $228,800 per year ($110.00/hour) based on 2026 data across 5 metro areas. This is 4.3% below the national average of $239,200.
What is the highest paying city for Physicians in Texas?
Austin, TX is the highest paying city for Physicians in Texas, with a median salary of $259,254 per year. The lowest paying metro area is El Paso, TX at $199,903.
What is the salary range for Physicians in Texas?
Physician salaries in Texas range from $148,333 (entry-level, 10th percentile) to $335,172 (experienced, 90th percentile). The median salary is $228,800 per year.
About This Data
Salary data is sourced from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey. State-level averages are calculated from metro area data within Texas. Figures represent 2026 estimates and may not reflect all employers or self-employed workers. Cost of living adjustments use regional indices to provide purchasing power context.